Medical Case Manager
Mercy Care Plan/Schaller Anderson
Phoenix, Arizona Area
Assisted members in cost effective care coordination for the “at risk” population currently enrolled in AHCCCS and Medicare. Managed caseloads of up to 70 members simultaneously on a complex computer network utilizing Windows, Case Trakker, Outlook, QMACS, QNXT, Predictive Pathway Modeling, and various standard office programs. Primary interaction was with members, their family, physicians, nurses, and support staff. Heavy emphasis was placed on patient education and reinforcement in regard to CAD, CHF, and COPD while simultaneously diagnosed with serious mental illnesses. Was also responsible for training and serving as a resource person for new staff and leading a team of care coordinators and member services representatives throughout their daily assignments and objectives.